新生儿颅脑疾病床边超声的诊断价值
Value of bedside high-frequence ultrasound in diagnosis of neonatal cerebral disease
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摘要: 目的:探讨床边高频超声在新生儿颅脑疾病中的诊断价值。方法:应用二维超声高频探头,以新生儿前囟为声窗,对78例新生儿进行床边颅脑检查,并与CT诊断结果作对比。结果:通过颅脑超声观察到颅内出血(intracranial hemorrhage,ICH)33例,缺氧缺血性脑病(hypoxic-ischemic encephalopathy,HIE)41例,脑发育异常1例,脑内钙化灶3例。除蛛网膜下腔出血(subaracheoid hemorrhage,SAH)外,超声对新生儿颅脑疾病的检出与CT基本相符。结论:超声对新生儿颅脑疾病有较好的诊断价值,应用超声诊断可以实现对新生儿颅脑疾病的动态观察,且无放射损伤,简便、易行、无创、价廉,可重复床边检查。Abstract: Objective: To study the value of bedside high-frequence ultrasound in diagnosis of neonatal cerebral disease.Methods: Seventy eight cases of neonatal cerebral disease were examined bedside by ultrasound high frequency probe,and the result was compared with that by computer tomography(CT).Results: Intracranial hemorrhage was observed in 33 cases,hypoxic-ischemic encephalopathy in 41 cases,encephalodysplasia in 1 case and intracranial calcification in 3 cases by cerebral ultrasound;The result by ultrasonic examination for cerebral disease coincided with that by computer tomography except subarachnoid hemorrhage,and the changes of the cerebral disease could be monitored by ultrasound.Conclusions: Ultrasound is of high value in diagnosis of neonatal cerebral disease and has the advantages of no radiation injury,convenience,easy application and cost efficacy.